| NPI | 1508241134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLESYA KARAKOSTA Therapist 239-248-4708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11443) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |